Information Collection

SSA-1372-FC (Foreign Claims)-Students

IC 182797 under ICR 202604-0960-005 · OMB 0960-0105.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1372-BK-FC Student's Statement Regarding School Attendance SSA-1372-FC (Foreign Claims)-Students	Form
SSA-1372-BK-FC Student's Statement Regarding School Attendance SSA-1372-BK-FC.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.367-404.368 20 CFR 404.350-404.352

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-1372-BK-FC				No		Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 831

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	831	160	671
Annual IC Time Burden (Hours)	208	40	168
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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